Contact from like page

I'm willing to pay $30 for a simple contact form type page. My client want to add form page to his site. Think of it like a contact from but for order. website wants to add a online app to the website. They got the idea from this [login to view URL](REMOVE_THIS)[login to view URL] The customer going to that page will fill out the form and it will be emailed email to owner. owner has a it person that will create some kind of software that will enter it into there company software. to complete the application process they are going to use doc(remove_this)usign.com. But you only need to be concerned and make the application just have it so they fill out the information and press submit and it sends it to the owner. The design is done it's located here [login to view URL](REMOVE_THIS)[login to view URL]